Form Dbpr Abt-6014 - Application For Location/increase In Series
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6DBPR ABT-6014 – Division of Alcoholic Beverages and Tobacco Change of Location/Increase
in Series Application
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL
REGULATION
1940 North Monroe Street
Tallahassee, FL 32399-0783
NOTE – This form must be submitted as part of an
application packet
If you have any questions or need assistance in completing this application, please contact the
Department of Business and Professional Regulation or your local district office. Please submit your
completed application to your local district office. This application may be submitted by mail, through
appointment, or it can be dropped off. A District Office Address and Contact Information Sheet can be
found on AB&T’s page of the DBPR web site at the link provided below
.
SECTION 1 - CHECK TRANSACTION REQUESTED
Transaction Type:
Change of Location
Increase in Series
Series Requested
Type Requested
SECTION 2 - LICENSE INFORMATION
Full Name of Applicant
(If this is a corporation or other legal entity, enter the name as registered with the Secretary of State)
Current License Number
Series
Type
FEIN Number
Business Telephone Number
Location Address
City
County
State
Zip Code
Mailing Address
City
State
Zip Code
Resident Agent/Contact Person
Phone Number
Mailing Address
City
State
Zip Code
Do you wish to change the business name?
Yes
No
If yes, please list new name below.
New Trade Name (D/B/A)
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